It is the object of this paper to report a case of multiple gangrene during an attack of typhoid fever. In addition to the gangrene, it was found upon autopsy that the child had suffered from a catarrhal cholangitis. An adenoma of the liver was discovered; this was an accidental finding.

History.—A. B., aged 21 months, female, came under observation on the fourth day of its illness. She was admitted to the Children's Ward of the Michael Reese Hospital, Sept. 25, 1900. Four days before admission the patient became ill, with headache and fever; she refused food, was dull and listless, slept most of the time, and her bowels were constipated.

Family History.—It is of great interest to note that the father of the child was ill in the male ward of the hospital at the same time, with a well-marked case of typhoid fever. The mother was